Organization
PHENIX CITY ELITE REHAB SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA VAN ETTEN (DIR OF CREDENTIALING)
(334) 799-5853
Entity
Organization
Contact information
Practice address
5409 SUMMERVILLE RD STE 3, PHENIX CITY, AL 36867-7437
(334) 947-1327
(334) 408-2460
Mailing address
5409 SUMMERVILLE RD STE 3, PHENIX CITY, AL 36867-7437
(334) 947-1327
(334) 408-2460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
04/24/2025
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